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Diagnostic Clinical Features of Kawasaki Disease

So our diagnosis of Kawasaki Disease, still based on what has been described by

Dr.Tomisaku Kawasaki in 1967, which is clinical-based. There are 5 features that
must be present: (1) clinical feature is high fever, more than 38°C for more than 5

days.

4 out of other 5 features are (2)bulbar conjunctivitis, (3)erythematous rash,

(4)redness or cracked lips or oral mucosa, (5)swelling of the cervical lymph nodes,
(6)erythema and oedema of the hands, and (7)desquamation of the fingers and
toes. Number (6) and (7) are considered as one clinical feature.

These clinical features do not appear simultaneously. In fact, they appear
sequentially. So, if you examine the patient at any one time, not all clinical features

could be present. We always have to ask from history or questions like “did you
notice your child has conjunctivitis?”; if the child has no more conjunctivitis when
you examine the child. Sometimes, incomplete Kawasaki Disease is actually

classical Kawasaki Disease, whereby the clinical features have resolved.